TexRN08

TexRN08

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About TexRN08

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  1. More about IV drip management! Titrating/bolusing/weaning (esp. drugs like propofol, versed, fentanyl, levophed, nitroprusside, dopamine, vasopressin etc), ideal ways to set up multiple drips (when you have more drips than ports), how to prepare for...
  2. LVNs in the ICU

    I work at a large level 1 trauma center so they are hiring the LVNs as support staff instead of CNAs (which we currently have). The duties of the CNAs/techs are primarily accuchecks and recording urine outputs, so from what i took from the discussio...
  3. LVNs in the ICU

    Our director of nursing spoke with us the other day about the hospitals plans to start hiring LVNs to replace the CNA's and techs in our ICU. The reason being is they are planning on turning over care of our ICU patients who are stable and awaiting ...
  4. This is why I find it so counter-intuitive when people say that withdrawing life support measures is wrong b/c it's "playing God"
  5. Swan Ganz

    I'm a pretty new nurse as well, but this is how I recall learning how to do this (someone correct me if I'm wrong)....The stopcock should be turned off to the injectate syringe if you want to get the CVP. The injectate syringe (at least here) is con...
  6. Thanking your preceptor...

    In my nursing school we were assigned one preceptor to work with through our entire class of hospital shifts and as part of our clinical requirements were we told to write our preceptors a thank you card on our last shift with them. I doubt that if ...
  7. Swan-Ganz Use

    Haha yes I do realize that "happy nursing school hospital" does not = real world hospital... my preceptors are often amused by the things we were told in school lol... However, this was a hospital-wide view, not just that of my nursing professors.......
  8. Titrating and Bolusing

    The TV was decreased to 400 (i gave you his pre-ABG settings).... And yea everyone involved knew this pt. was probably not going to survive very long, we were just doing everything until the family could make a decision. Just found it to be a great ...
  9. Swan-Ganz Use

    I see... I haven't had orders to do that yet, so I guess I will get a better grasp of it when it happens.... I guess I'm just having trouble coming around to them since I've been groomed during my education/school clinical experience to believe that...
  10. Swan-Ganz Use

    I guess that's my question about them. Anytime I've mentioned that my old facility did not use them, everyone would ask well how did you get CO/CI? So then I ask well what are we using those numbers to do? How much does it impact the course of th...
  11. Titrating and Bolusing

    I have seen neo, but haven't had a chance to really work with it yet. And yes, they recently changed to weight based dosing for levo so many of the nurses are getting used to that (many of my preceptors have had a calculator on hand to calculate the...
  12. Titrating and Bolusing

    The max rate we can give vaso is 0.04 units/min and we his levo was on avg 0.5 mcg/kg/min and dopamine around 17 mcg/kg/min (max for this here is 20 mcg/kg/min)... I am still not really good at knowing whats high, low and avg doses, but when I asked ...
  13. Swan-Ganz Use

    I'm a brand new nurse and the hospital I did my clinicals in did not use these. I don't want to say they NEVER did, but the general consensus at that hospital was that current research does not support their use, therefore they were pretty much phas...
  14. Titrating and Bolusing

    I forgot to add this as well to my thought process, and let me know if I'm going in the right direction or not: As far as sedation I should probably start with the propofol or versed and leave the fentanyl b/c the fentanyl will handle pain, propofol...
  15. Titrating and Bolusing

    I really appreciate all of the feedback. I guess my main problem when they are on 3 pressors (levo/vaso/dopa) and 3 sedation drugs (fentanyl/propofol/versed), and deciding for example well x,y,z ALL cause this effect, but which one is most likely to...